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eVP�Cft <br />� <br />City of Everett <br />Engineering Department <br />n '"i Cy .i � � . <br />. , _ i Y, , i �J „ � � � <br />J"y,~' /. vj �� �('/�����✓'. /{�7 i S <br />�� � � <br />Sewer Application and Permit <br />No. 206&6 DATE <br />Service Address <br />Billing Address_ <br />City, State, Zip__ <br />Owner (Mortgagor) <br />Billing Name <br />Connection By <br />�.. <br />DESCRIPTION: <br />Block <br />Division or Addition <br />Type Permit: <br />Utility Account No. _ __ <br />Connection Permit Fee — <br />Connection Feo <br />Total Fee <br />Signed _ <br />Customer <br />SEE SKETCH ATTACHED <br />Sewer District <br />Monthly Sewer Service <br />Montlily Sewer Constr. <br />Trunk <br />Lateral <br />Abutting Lot Line .��-- <br />IV, S, E, W <br />Approved By <br />City Enyincer <br />Issued B <br />. .� <br />InspectionBy -��'�� <br />Datelnspected_�/� 7 <br />NO. ��',,,_. <br />.. <br />